Managua is the top region by total hospital discharges in Nicaragua. As of 2011, total hospital discharges in Managua was 104,146 that accounts for 30.44% of Nicaragua's total hospital discharges. The top 5 regions (others are Chinandega, Matagalpa, León, and Carazo) account for 57.22% of it. Nicaragua's total total hospital discharges was estimated at 342,094 in 2011.